Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report
Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the...
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Veröffentlicht in: | Journal of orthopaedics 2017-12, Vol.14 (4), p.515-519 |
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creator | Yoshida, Takashi Kim, Wook-Cheol Oka, Yoshinobu Nakase, Masashi Nishida, Atsushi Wada, Hiroaki Arai, Yuji Kubo, Toshikazu |
description | Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint. |
doi_str_mv | 10.1016/j.jor.2017.08.011 |
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A case report</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Yoshida, Takashi ; Kim, Wook-Cheol ; Oka, Yoshinobu ; Nakase, Masashi ; Nishida, Atsushi ; Wada, Hiroaki ; Arai, Yuji ; Kubo, Toshikazu</creator><creatorcontrib>Yoshida, Takashi ; Kim, Wook-Cheol ; Oka, Yoshinobu ; Nakase, Masashi ; Nishida, Atsushi ; Wada, Hiroaki ; Arai, Yuji ; Kubo, Toshikazu</creatorcontrib><description>Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint.</description><identifier>ISSN: 0972-978X</identifier><identifier>EISSN: 0972-978X</identifier><identifier>DOI: 10.1016/j.jor.2017.08.011</identifier><identifier>PMID: 28860685</identifier><language>eng</language><publisher>India: Elsevier India Pvt Ltd</publisher><subject>Elbow ; Modyfied wedge osteotomy ; Multiple epiphyseal dysplasia ; Orthopedics ; Osteoarthritis ; Osteochondritis dissecans ; Radial head subluxation</subject><ispartof>Journal of orthopaedics, 2017-12, Vol.14 (4), p.515-519</ispartof><rights>Prof. PK Surendran Memorial Education Foundation</rights><rights>2017 Prof. PK Surendran Memorial Education Foundation</rights><rights>2017 Prof. PK Surendran Memorial Education Foundation. Published by Elsevier, a division of RELX India, Pvt. Ltd. All rights reserved. 2017 Prof. PK Surendran Memorial Education Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-704601db8d570debe16ab502f618056f8d507768358d1ce424b5b6d12515993a3</citedby><cites>FETCH-LOGICAL-c506t-704601db8d570debe16ab502f618056f8d507768358d1ce424b5b6d12515993a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568871/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568871/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28860685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshida, Takashi</creatorcontrib><creatorcontrib>Kim, Wook-Cheol</creatorcontrib><creatorcontrib>Oka, Yoshinobu</creatorcontrib><creatorcontrib>Nakase, Masashi</creatorcontrib><creatorcontrib>Nishida, Atsushi</creatorcontrib><creatorcontrib>Wada, Hiroaki</creatorcontrib><creatorcontrib>Arai, Yuji</creatorcontrib><creatorcontrib>Kubo, Toshikazu</creatorcontrib><title>Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report</title><title>Journal of orthopaedics</title><addtitle>J Orthop</addtitle><description>Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint.</description><subject>Elbow</subject><subject>Modyfied wedge osteotomy</subject><subject>Multiple epiphyseal dysplasia</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteochondritis dissecans</subject><subject>Radial head subluxation</subject><issn>0972-978X</issn><issn>0972-978X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9UsFu1DAQjRCItgsfwAX5yGWDnawdR0iVqqoUpCIOgMTNcuxJ4-DEwXa6yq_wtThKqQoH5IM9M2_ejOdNlr0iOCeYsLd93jufF5hUOeY5JuRJdorrqtjXFf_-9NH7JDsLoce4LCgrn2cnBecMM05Ps1-fnF5aAxodQd8CciGCi25YUOv8ZkkfO2-iCci1CGzjjiiAcqOWfkHRbSDVJceG0iakuBwDMiOS2llQMEZ0NLFDw2yjmSwgmMzULQGkRXoJk5XByBxdICUDIA-T8_FF9qyVNsDL-3uXfXt_9fXyw_7m8_XHy4ubvaKYxX2FDwwT3XBNK6yhAcJkQ3HRMsIxZW3y46pivKRcEwWH4tDQhmlSUELrupTlLjvfeKe5GUCvzXppxeTNkH4onDTi78hoOnHr7gSljPOKJII39wTe_ZwhRDGYoMBaOYKbgyB1yQgrq3R2GdmgyrsQPLQPZQgWq6aiF0lTsWoqMBdJ05Tz-nF_Dxl_REyAdxsA0pTuDHgRlIFRgTYeVBTamf_Sn_-TrawZjZL2BywQejf7MY1fEBEKgcWXdanWnSJViQlP5X8DSifMiw</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Yoshida, Takashi</creator><creator>Kim, Wook-Cheol</creator><creator>Oka, Yoshinobu</creator><creator>Nakase, Masashi</creator><creator>Nishida, Atsushi</creator><creator>Wada, Hiroaki</creator><creator>Arai, Yuji</creator><creator>Kubo, Toshikazu</creator><general>Elsevier India Pvt Ltd</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171201</creationdate><title>Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report</title><author>Yoshida, Takashi ; Kim, Wook-Cheol ; Oka, Yoshinobu ; Nakase, Masashi ; Nishida, Atsushi ; Wada, Hiroaki ; Arai, Yuji ; Kubo, Toshikazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-704601db8d570debe16ab502f618056f8d507768358d1ce424b5b6d12515993a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Elbow</topic><topic>Modyfied wedge osteotomy</topic><topic>Multiple epiphyseal dysplasia</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteochondritis dissecans</topic><topic>Radial head subluxation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Takashi</creatorcontrib><creatorcontrib>Kim, Wook-Cheol</creatorcontrib><creatorcontrib>Oka, Yoshinobu</creatorcontrib><creatorcontrib>Nakase, Masashi</creatorcontrib><creatorcontrib>Nishida, Atsushi</creatorcontrib><creatorcontrib>Wada, Hiroaki</creatorcontrib><creatorcontrib>Arai, Yuji</creatorcontrib><creatorcontrib>Kubo, Toshikazu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Takashi</au><au>Kim, Wook-Cheol</au><au>Oka, Yoshinobu</au><au>Nakase, Masashi</au><au>Nishida, Atsushi</au><au>Wada, Hiroaki</au><au>Arai, Yuji</au><au>Kubo, Toshikazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report</atitle><jtitle>Journal of orthopaedics</jtitle><addtitle>J Orthop</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>14</volume><issue>4</issue><spage>515</spage><epage>519</epage><pages>515-519</pages><issn>0972-978X</issn><eissn>0972-978X</eissn><abstract>Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint.</abstract><cop>India</cop><pub>Elsevier India Pvt Ltd</pub><pmid>28860685</pmid><doi>10.1016/j.jor.2017.08.011</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Elbow Modyfied wedge osteotomy Multiple epiphyseal dysplasia Orthopedics Osteoarthritis Osteochondritis dissecans Radial head subluxation |
title | Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report |
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